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Application of cystourethroscopy during tracheobronchial foreign body removal in children

Bifan Deng1, Weiguang Tang1, Feiqun Su2

  • 11 Department of Otolaryngology Head and Neck Surgery, Hezhou City People's Hospital, Hezhou, China.

The Journal of International Medical Research
|June 9, 2018
PubMed

Insights

Cystourethroscopy (CU) effectively removes pediatric tracheobronchial foreign bodies (TFBs), demonstrating a high success rate with minimal complications. This technique offers a safe and efficient option for pediatric TFB removal.

Area of Science:

  • Pediatric Pulmonology
  • Medical Device Technology
  • Surgical Innovation

Background:

  • Tracheobronchial foreign bodies (TFBs) pose a significant risk in children.
  • Traditional removal methods can involve considerable risks and complexities.

Purpose of the Study:

  • To evaluate the preliminary outcomes and safety of using cystourethroscopy (CU) for pediatric TFB removal.
  • To assess the efficacy and complication rates associated with this novel approach.

Main Methods:

  • Retrospective analysis of 127 pediatric cases undergoing TFB removal via CU.
  • Data collected included patient demographics, TFB characteristics, procedure time, and complications.
  • Analysis of TFB removal success rates across multiple attempts and correlation with surgeon experience.

Main Results:

  • All TFBs were successfully removed using CU, with a mean procedure time of 3.38 minutes.
  • High initial success rates were observed: 80.31% on the first attempt, 14.96% on the second, and 4.72% on the third.
  • Minimal complications were noted, including transient oxygen desaturation and one case of laryngeal edema.

Conclusions:

  • Cystourethroscopy (CU) is a safe and effective technique for pediatric tracheobronchial foreign body removal.
  • The procedure is associated with low complication rates and operational risks.
  • CU offers a valuable alternative for managing pediatric TFBs.

Keywords:
Paediatricscystourethroscopyoedemarigid bronchoscopyseedtracheobronchial foreign body

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